| NPI | 1952590705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 48841) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0066606) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2012-07-27 |